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Il composto nell'organismo, e precisamente nel sangue, viene metabolizzato grazie a esterasi plasmatiche in carnitina, la quale viene utilizzata per trasportare gli acidi grassi nei mitocondri: gli acidi grassi vengono quindi utilizzati e ossidati

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However, with the shortage resolved, the FDA expects these compounded versions to be phased out, as they are not FDA-approved and may pose safety risks